| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.13 | $130.08 | $130.08 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 |
Federally Qualified Health Center (FQHC) visit, IPPE or AWV; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.13 | $130.08 | $130.08 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 |